• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by responding to customer inquiries, initiating investigations and resolving customer claims. • Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim • Coordinate the repair of damaged vehicles and assist with rental reimbursement • Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority • Provide input for continuous development of claims guidelines, best practices, and process improvements • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

• Provide prompt, courteous, and high-quality customer service to all policyholders and claimants by answering customer calls, texts, and/or emails in a timely and accurate manner. • Gather necessary information from customers to initiate the claim and explain policy, coverage, and educate them on the claims process and next steps. • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim. • Work with the APD team on the handling of property damage claims. • Recognize recovery opportunities with regard to subrogation and salvage, as well as total loss. • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures. • Negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority. • Provide input to continuously develop claims guidelines, best practices, and process improvements. • Know the claims inside and out and ensure outside investigative service providers, including independent appraisers and defense counsel, are guided based on what we need to move the file to a quick and appropriate resolution. All the while keeping our clients updated where needed. • Engage in learning opportunities to build knowledge of claims statutes, recent/updated court decisions impacting the claims function, current internal guidelines, and policy changes and modifications.

Role Description The Claims Review Representative 3 partners with professional staff on pre-screening review by applying guidance and making an appropriate decision which may include interpretation of provider information or data. Decisions are typically focused on methods, tactics, and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. Qualifications - Fully Bilingual in Spanish/English. Must be able to speak, read and write in the Spanish and English language without limitations or assistance. - Minimum of 1 year of strong and proven experience with processing and adjudicating medical claims. - Knowledge with CPT, ICD9, and ICD10 terminology/codes. - Proficiency in Microsoft Office applications including Word, Excel, and Outlook. - Ability to quickly learn new systems. - Ability to manage and prioritize tasks based on business need. - Must reside in Puerto Rico only. Requirements - CAS and/or CCP experience. - CIS/CIS Pro experience. - Finance Knowledge. Benefits - Benefits starting day 1 of employment. - Competitive 401k match. - Generous Paid Time Off accrual. - Tuition Reimbursement. - Parent Leave. Work at Home Requirements - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $35,900 - $48,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides: - Medical, dental and vision benefits. - 401(k) retirement savings plan. - Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave). - Short-term and long-term disability. - Life insurance and many other opportunities.

Role Description As a Sr. Default Associate within the broader Default Administration team, you will be responsible for processes and procedures related to claims, invoice management, and corporate advances. We’re looking for a self-starter with strong project management skills to assist with and advise on the implementation of processes for reconciliation and recovery that comply with contractual obligations, Valon policies, and regulatory guidelines. In this highly cross-functional role, you will also work with internal and external stakeholders to ensure reporting requirements and deadlines are met. Responsibilities - Invoice Management - Process and manage all vendor invoices and payments for all areas of delinquency and default while adhering to company policies and procedures. - Verify the accuracy of invoices and confirm that all expenses adhere to Investors, Insurers, and Agency guidelines/allowable expense schedules (Freddie Mac, FNMA, FHA, VA, RHS, etc.), and are mapped and paid to the appropriate expense code and account. - Record all financial transactions, including verifying, classifying, and recording invoice data. - Assist internal departments and 3rd party vendors to resolve outstanding invoices, invoice discrepancies, and payment issues. - Issuing, tracking, and monitoring billbacks to vendors for over allowable expenses. - Corporate Advances - Oversee offshore vendor- monitoring, tracking their work, and ensuring accurate and timely completion, including issuing vendor scorecards. - Review and reconcile prior servicer's corporate advance data files and ensure all transactions are mapped to the correct loans and accounts, and there are invoices/backup to support all prior servicer corporate advances. - Reconcile onboarded corporate advances with data files and work with the onboarding team and system engineers to resolve any discrepancies. - Work with the onboarding team and offshore staff to ensure all invoices and backup documents are received from prior servicers. - Review and reconcile corporate advance data for offboarding loans and provide an accurate list of all corporate advances to the offboarding team. - Work closely with Product and Engineering on system requirements to automate and manage processes related to corporate advance, invoice management. - Work collaboratively to coordinate with internal and external business partners. - Work with prior servicers and internal departments to map corporate advances to the system of record for all acquisitions. - Facilitate and respond to all audit requests/findings and client requests relative to invoices and corporate advances. - Provide monthly MBR report and trending report. - Escalate all problems and compliance issues in a timely manner. Qualifications - 5+ years of experience in Invoice management, Corporate Advance Management, or Default Accounting. - Experience developing and managing complex processes with multiple stakeholders. - Excellent written and verbal communication skills. - Experience working cross-functionally with Product and Engineering teams. - Strong Excel or Google Sheets experience, including V-lookup. - Minimum education requirement: High school diploma or GED equivalent required. Benefits - Compensation: competitive salary and 401 (k) plan. - Health & well-being: we’ll invest in your physical and mental well-being with comprehensive medical, dental, & vision benefits. - Commuter benefits: We offer pre-tax deductions for public transportation, rideshare services, and parking expenses to make your commute more affordable and convenient. - Grow together: Company-wide orientation for you to successfully onboard and other learning & development opportunities, including regular review cycles that feature 360-degree feedback. - Generous time off: 17 days paid time off, sick days, and 11 company holidays. - Baby bonding time!: 12 weeks off for both birthing and non-birthing parents - fully paid, so you can focus your energy on your newest addition.